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4490 Clover Lane - Unit BCity of Ea�all Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Name: Address / City / Zip: k- O U' c ,� ► 4 /4/%7 Applicant is: Owner Contractor Company: 1Ckc ■04 3O Address: / %S Gva / eneWe _ j iV. State: ( `hiv s Zip: /a 0 License #: 1�tn 3 4 d' Lead Certificate #: Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Description of work: Re el I d' ex f- +;I IU dCl✓ Cog `.e Construction Cost � 5 f.5 Multi - Family Building: (Yes 4. / No Contact: o u- }'Gi City: Oo d -/e- Phone: 651- 717 3 Staff: Phone: 64- - 'D. 3 - L /(9`d 6 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) .) (14-%4 c ))( g ,3OIt -1 / C � 3 iz COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: J CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota -tate Building Cod must be completed within 180 'AP gird/ Ap . is Signature days of permit issuance. x �� Applicant's Printed Name Page 1 of 3 SUB TYPES Foundation Fireplace Single Family Garage Multi `' Deck 01 of Plex Lower Level Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction 7 REQUIRED INSPECTIONS Footings (New Building) Reviewed By: Interior Improvement Move Building Fire Repair Repair ti i 78 y Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test Insulation Sheathing Sheetrock RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies DO NOT WRITE BELOW THIS LINE Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final S Q5 1 OTIJ. Lit) Clc Siding Reroof Windows Egress Window *Demolition of entire building - give PC'A handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings _Air /Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector ?4.9,4;ry /-/4/ ,7z cA, / - /r1 Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage 6 o 4r° Page 2 of 3 6 %. ,r0 .6% dele 0 l / /\64' r EAGAN REVIEW D BY: S 7M, ...,.Jai. = T v 0 5te ";`PIONS DIVISION CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: _ Eagan, MN 55122 DATE: Zoning: _ No. of Units: Owner: Address: Site Address: Plumber: Meter No.: _ Connection Charge: Size: _ Account Deposit: Reader No.• Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinances. N 8+ 7...t.r4 F► Misc. Charges: _ Total: By j Date Paid: Date of I nsp.: I nsp.• CITY Of EAGAN SEWER SERVICE PERMIT 3195 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: — Address: — - -- _ Site Address: — — Plumber: — — — agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By -- Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: — From:ALLSTAR CONSTRUCTION 19529427464 09/17/2013 08:52 #582 P.074/079 Use BLUE or BLACK Ink I For Office Use I j Permit City of Eap I Permit Fee: - 5 C, 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: n (13 j Phone: (651)675.5675 I I Fax: (651) 675-5694 I Staff: I I 1 Q 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1- - 1:3 Site Address: ~~}`1'1O ~y O 4 Z -Iy~ Z eti bane Unit Name: W*J ►M 010 1 GQftll CWUV1N Phone: Resident/ 'n Q I/►~p~ Owner Address / City / Zip: W~3 G11 vt V 1Wi pafgy I l~1JltJ1 , ~n~. MN 553'-H Applicant is: Owner ^ Contractor Type of Work Description of work: Tear off avid Ye'Vik Construction Cost: $20 Z 1 tp Multi-Family Building: (Yes x ! No Company: MAT 11YL=mi Wnaait ttt, I-Lt Contact: Jue ftlistow Contractor Address: 5Iy5 I11twftal ,1 `tA -0103 City: Mo fti n State: ► Zip: GY7YO ) Phone: 'I J - IIH -IL4I'7L License L7~, ~3~'✓1Gj Lead Certificate Nr I T- ~VI 1p~t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information, Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to ~m~_ _ conclude that they.are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x clueitl~teAd x Applicant's Pri ted Name Appl'c is Signature kJ Page 1 of 3 From:ALLSTAR CONSTRUCTION 19529427464 10/21/2015 12:33 #269 P.019/020 Use BLE1E or BLACK Ink � For Office Use ` � � j Permit#: � �� "`''" j C1ty of��a� ECEIVED ; � �� R � Permit Fee: f � 3830 Pilot Knob Road c � Eagan MN 55122 OC� 1 � Z��J � Oate Received: � Phone:(654)675-5675 � � Fax:(651)675-5694 I Staff: � i ► ��-��_��J 2015 R��CE`4L ��1�LDi[�!G PE�IVf[�`a4P�L1CATtQI� Date: Site Address: Unit#: �,..�:...� ..,..r,.�,PT,�,.,r,.....,...��<-�,:._..,....�rrY.-....a.,.,K�...n,,.,,�m.,.,:�.�.,�...�:..�,.Y,�,.�.,..a.,....,�..a.,�.�..,.-��,...._..,.�,.�.�,_,.�.,�.,..,,..,,..,:..o..,..m.�.. ..._�..,._�...,,�_� � � Name: L�n��✓�: 1��31t� -' �'�..t - ` �'; I"1c�� Phone: /1/�� I [ Resident/ � Owner � Address�City/Zip: LI'�9��W�2- C��,,�� f ,�,��, �'i�-��,,., : : A licant is pp : Owner � Contractor ` I ..,��,,..,�...�,�.aM.:..,e,..� .. _,,.�„K.:.:.,._.��.�_..:.n-_.w.��,...,..>...z.�..,,.....�,.�.,..w.�.�..�,...,.�..��._�_..,._..��,..,_R_.<.�.��.<.:4.�,w._...,:�<..,.�.._,,,.�,,.r...«..,>.�-._._.^.._ ,..�.,�,..,.a...�_.,,s..r.. I ` Descriptionofwork: ��•- '�f�� ,�/o'�� I�;.�E'�r� �Ll'.n(` •��R � ' Type of VUork ` Construction Cost: �Z�,�`�U'� Multi-Family Building:(Yes �No �.N.t...,..,�,...,�. ..� �..,,,��.,�-�...-�,....n-:.�M._��..r.�._.m-_..T:�...,..�...�.,,�:..�_.,,..�..�..,.:.._...�.��...,�.,�_.._�.,..-.�.� � Com an 115� �s�S� uc� ' � �• _<.�_.�.,�.�_,...�.�.,�._�s�:��.�w.��-.,a.,,�..,.�,,.. � J 'Tt!1�,r„�4„1 j � P Y�� A/t- 1� .��f/�d�•'� Gi7Lq h�L� Contact: _` ,r*, � � Address:S'��5 �n1�u15'l�'�,�L 5�' - Su�e��- IG� r � � Contractor . - �'�Y� �� 1��"� � State:�Zip: �s��`3 Phone: ��``j✓2�7�5"�Email: i�'1't��ci 1�S'�z�P", b'�- � �icense#: .�C lr9�'� ��G► Lead Certificate#: /�/�►• �� Z— �„�,,._.�.�_._... ,.,-.�,_,.�,.,.,�..�.,.�. __-�-,�.....�.�,e�.,,�.�,,..,.,,.�...�n-�-.�,-.,��. � - -- .�<....�.,_,.�...�,.�,..,�,�.� ; If the project is exempi from lead certification, please explain why: ,��`�, ;,,�p ��3 � � : ...�.m,.-H,,.�._.�.P,:.__..�.�.,_..�.,,�.....:.�._,,..,a...�..�-.�....,�.�—___—_,.,�.�....�,�,.� ,�:_r._,==.,.�...T._ ��,,.n,�.,�..,..,t.....�>.,..�..�r.�..h..,.,..,� ; f COIViPLETE THIS AREi4 ONLY IF CONSTRUCTING A NEW BUILDING � � In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? � � � Yes No If yes,date and address of master plan: � — � Licensed Plumber: Phone: � Mechanical Contractor: � � Phone• � � Sewer 8�Water Contractor Phone: � � �Fire Suppression Contractor: Phone• .�..,..�..� , n:.�.,.r... _ r.:,....,r w. �..�a�,.�.� ,ry.,:,._...M..� .. ...�..�.,.� ' � NOTE:Plans and supporfing documenfs that you submit are considered to be public information.RPortions of ; � the information may be c/assified as non-publlc if you provide speci�c reasons that wou/d permif the City to � ; conc/ude that they are trade secrets. � �.�.,�.,...�.w�,,.�.,.-....��::.�,.,.�.:...n�.�.�..�.�„t.::m.,._,...,�.�_�._.r,�.�..�.�.�_�....�__-��,�_:..:,�_�..�..,��,,,.�.�.�,..:�,.�N.n.....___:.��...�..,...<�..�.r.,,.,..r_�..�_,��.�..xnM.�.,.�..,c».....��,��.._� CALL BEFORE YOU DIG. Call Gophe�State One Call at(651)45A-0002 for protection against underground utility damage. Call 48 hours � before you intend to dig to receive locaies oi underground utilities. www.aooherstateonecall.oro I hereby acknowledge that this information is complete and ac�u�ate;that the work will be in confortnance wilh the ordinances and codes of the City of Eagan; that I understand this is noi a permit, but only an application for a permit, and work is not to start withoui a permit; that the work wiil be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be co pleted within 180 days of permit issuance. rt _ .. �,�-�^� ; x �'�. �//�.�,� X �� Applica�t's Printed Name �.�, Applic nt's Signature � Page 9 oi 3 F" PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA152668 Date Issued:10/25/2018 Permit Category:ePermit Site Address: 4490 Clover Lane B Lot:18 Block: 02 Addition: Eden PID:10-22750-02-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Naod Tezera 13413 Parkwood Dr Burnsville MN 55337 (952) 484-2758 Ron's Mechanical 2026 Colburn Dr Shakopee MN 55379 (952) 445-8585 Applicant/Permitee: Signature Issued By: Signature GL M 4I 9 � 1 1 I EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 FAX: (651) 675-5694 buildinginspections@cityofeagan.com ----------- For Office Use I t�tiO4b I Building Permit #: I I I j S&W Permit #: I Permit Fee: I I I i Date Received: I I I I I Date Issued: I I---------------------J RESIDENTIAL BUILDING PERMIT APPLICATION Date: �hqhQ23&te Address: - Applicant is: ❑ Owner aContractor nit #: IName: ��L � 14 b vy,e- O L U--c_,v'S fa!5 (b aI a4 k b l/-N, Homeowner Address:4q*) 14/13 qy q a ,41 B Clguev Lv-, city:,o`ct a State:/ Vl V"-EiD: !D___� (.1- L Phone: Email: Description of work: Pik QC. t - Type of I 2 / f Work Construction Cos t;J '7 of building: ❑ Single Family ❑ Townhome, of units Twin Home Compan)T?Q�f71/l�%h c.LL o\A Contact:`r e f 1`C Building Address:! L/39 ii .tl WeSi" + K— y City:e, Contractor `� / State)-Wip: 5.3�T Phone>�rZ�y5- Emailt_�/UIQ�C �e�/� K2L6q� bzt�coxpir3/31 /�y2S License #: EationDate: , Sewer & Company: Contact: Water Contractor Address: City: Required for State: Zip: Phone: Email: new construction i License #: Expiration Date: ?�I understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. /J Applicant's Printed Name A licant's Signature